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EXPENSE REPORT:

Company:
Employee Name:
Employee ID:
Claim ID #:
Report print date:
Date Submitted:
Reimbursement Currency:

( AMBIKAPURBIJURIADANIBSP )

Essae Digitronics Private Limited


Sambeet Nayak
TWS006
27448
02/03/2015
-INR
INR

No of items

Scanned & E-Receipts

sub-total

0.00
20,154.94
20,154.94

0
28
28

0
0
0

Total

20,154.94

28

Cash:
-Billable
(0 %)
-Non-Billable (100 %)

ADVANCES:
- Received
- Set-off per this claim
- Balance outstanding
- Balance returned
Final advance balance

0.00
0.00
0.00
0.00
0.00

Amount due to employee (reimbursable)

0.00

EMPLOYEE:

Signature:

Date submitted:

APPROVER:

VERIFIER:

Signature:
NOTES:
NA

Date:

NA

Signature:

NA

[ Version 0 (Draft) ]
Page 1 of 7

Date:

Actual receipts

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
NON-BILLABLE
Customer:
TWS

TWS

TWS

TWS

TWS

Page 2 of 7

Project:
None
Notes:
Details:
From date:

Expense Date:
09/02/2015
v-06

Category:
Lodging-TWD-City - Other

Unique Doc ID:


354-2421

Currency:
INR 650.00

Conv. Rate:

09/02/2015

To date:

09/02/2015

Location:

ambikapur

None
Notes:
Details:
From(Destination):
Class:

09/02/2015

Travelling Expenses TWD

station
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

09/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

site & back

Airline:

None
Notes:
Details:
From(Destination):
Class:

09/02/2015
v-01

Travelling Expenses TWD

354-2400

INR 130.00

ambikapur
g

To(Returning from):

surajpur

Airline:

None
Notes:
Details:
From(Destination):
Class:

09/02/2015

Travelling Expenses TWD

stand
g

To(Returning from):

INR 60.00

lodge

Airline:

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

1.000

60.00

1.000

190.00

1.000

130.00

1.000

50.00

auto bus

Bus

INR 50.00

Airline:

Amount:
650.00

auto

INR 190.00

lodge

1.000

auto

Page 1 of 6 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 3 of 7

None
Notes:
Details:
From(Destination):
Class:

10/02/2015

Travelling Expenses TWD

INR 230.00

lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

11/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

None
Notes:
Details:
From date:

12/02/2015
Lodging-TWD-City - Other
354-2422
v-07, for 03 no. days hotel bill claimed i.e.from 9.2.15 to 12.2.15 bill attached.

INR 2,100.00

09/02/2015

To date:

Location:

None
Notes:
Details:
From(Destination):
Class:

12/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

12/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

ambikapur site & back

Airline:

12/02/2015

Airline:

Airline:

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

Airline:

210.00

1.000

2,100.00

1.000

230.00

1.000

45.00

surajpur

auto traveller

INR 45.00

stand

1.000

auto bus

INR 230.00

ambikapur site & back

230.00

auto traveller

INR 210.00

adani site & back

1.000

auto

Page 2 of 6 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 4 of 7

None
Notes:
Details:
From(Destination):
Class:

12/02/2015
v-02

Travelling Expenses TWD

354-2406

INR 340.00

surajpur
g

To(Returning from):

manendragarh

Airline:

None
Notes:
Details:
From(Destination):
Class:

12/02/2015

Travelling Expenses TWD

stand
g

To(Returning from):

None
Notes:
Details:
From date:

15/02/2015
Lodging-TWD-City - Other
354-2423
v-08, for 03 no. days hotel bill claimed i.e. from 12.2.15 to 15.2.15.

INR 2,040.00

12/02/2015

Location:

None
Notes:
Details:
From(Destination):
Class:

15/02/2015
Travelling Expenses TWD
for 03 no. days auto fare claimed.i.e.13.2.15, 14.2.15, 15.2.15.
lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

15/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

To date:

15/02/2015

Airline:

Airline:

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

Airline:

50.00

1.000

2,040.00

1.000

670.00

1.000

50.00

manendragarh

auto traveller

INR 50.00

bus stand

1.000

auto

INR 670.00

bijuri site & back

340.00

Bus

INR 50.00

lodge

1.000

auto

Page 3 of 6 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 5 of 7

None
Notes:
Details:
From(Destination):
Class:

15/02/2015
v-03

Travelling Expenses TWD

354-2410

INR 310.00

manendragarh
ac

To(Returning from):

surajpur

Airline:

None
Notes:
Details:
From(Destination):
Class:

15/02/2015

Travelling Expenses TWD

bus stand
g

To(Returning from):

station

Airline:

None
Notes:
Details:
From(Destination):
Class:

15/02/2015
v-04

Travelling Expenses TWD

354-2412

INR 1,372.47

surajpur
ac

To(Returning from):

bilaspur

Airline:

None
Notes:
Details:
From(Destination):
Class:

16/02/2015

Travelling Expenses TWD

station
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

16/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

Airline:

40.00

1.000

1,372.47

1.000

50.00

1.000

330.00

Train

auto

INR 330.00

kharsia site & back

1.000

auto

INR 50.00

Airline:

310.00

Bus

INR 40.00

lodge

1.000

auto traveller

Page 4 of 6 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

None
Notes:
Details:
From(Destination):
Class:

18/02/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site i.e. 17.2.15 & 18.2.15.
lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

19/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

20/02/2015
Travelling Expenses TWD
for surge protection device installation.

None
Notes:
Details:
From(Destination):
Class:

21/02/2015
Travelling Expenses TWD
for surge protection device installation.

None
Notes:

22/02/2015
Boarding -TWD-City -Other
01. for 14 days boarding fare claimed i.e from 9.2.15 to
02. 22.2.15.

Details:
Town/City:

Page 6 of 7

lodge
g

lodge
g

To(Returning from):

To(Returning from):

bilaspur,ambkpr,surjpr,bjri,man No. of people:

INR 460.00

jairamnagar site & back

Airline:

Airline:

Airline:

Airline:

INR 2,800.00

310.00

1.000

330.00

1.000

310.00

1.000

2,800.00

auto traveller

INR 310.00

baradwar site & back

1.000

auto bus

INR 330.00

kharsia site & back

460.00

auto traveller

INR 310.00

baradwar site & back

1.000

auto bus

01

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

Page 5 of 6 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

Total No of expenses:

Page 7 of 7

None
Notes:
Details:
From date:

22/02/2015
Lodging-TWD-City - Other
354-2424
v-09, for 07 days hotel bill claimed along with s.tax. i.e. from 16.2.15 to 22.2.15.

INR 5,140.00

16/02/2015

To date:

Location:

None
Notes:
Details:
From(Destination):
Class:

22/02/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

station

Airline:

None
Notes:
Details:
From(Destination):
Class:

22/02/2015
v-05

Travelling Expenses TWD

354-2420

INR 1,597.47

bilaspur
ac

To(Returning from):

bbsr

Airline:

22/02/2015

1.000

5,140.00

1.000

60.00

1.000

1,597.47

sub-total
NON-BILLABLE TOTAL:

20,154.94
20,154.94

bilaspur

INR 60.00

28

[ Version 0 (Draft) ]
AMBIKAPURBIJURIADANIBSP

auto

Train

Page 6 of 6 (of Cash report)

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